Morphological predictors of restenosis after coronary stenting in humans.

Abstract:

BACKGROUND:Experimental studies suggest that arterial injury and inflammation lead to increased neointimal growth after stenting. Despite the increased use of coronary stents in humans, there are only limited pathological data on the morphological features of in-stent restenosis. METHODS AND RESULTS:Detailed histology was performed on 116 stents, implanted > or =90 days in 87 coronary arteries, from 56 patients (mean age, 59+/-13 years). The mean duration of stent implant was 10 months. In-stent restenosis was defined as a stent area stenosis of >75%. Lumen area increased as stent area increased (r2=0.27, P=0.0001), but there was a much stronger correlation between stent area and neointimal area (r2=0.70, P<0.0001). Arterial medial fracture was associated with a 29% increase (P<0.01) in neointimal thickness compared with arteries with an intact media. Neointimal thickness (P=0.0001), inflammatory cell density (P<0.0001), and neointimal vascular channel density (P<0.0001) were greater when struts were in contact with a ruptured arterial media compared with fibrous plaque or an intact fibrous cap. Stent strut penetration into a lipid core was associated with increased neointimal thickness (P=0.04) and inflammatory cell density (P=0.03). Neointimal inflammatory cell content was 2.4-fold greater in stents with restenosis versus no restenosis, and inflammation was associated with increased neoangiogenesis. CONCLUSIONS:Coronary stenting that is accompanied by medial damage or penetration of the stent into a lipid core induces increased arterial inflammation, which is associated with increased neointimal growth. These data suggest the use of stenting strategies that reduce inflammation and neoangiogenesis to reduce the incidence of restenosis.

journal_name

Circulation

journal_title

Circulation

authors

Farb A,Weber DK,Kolodgie FD,Burke AP,Virmani R

doi

10.1161/01.cir.0000019071.72887.bd

subject

Has Abstract

pub_date

2002-06-25 00:00:00

pages

2974-80

issue

25

eissn

0009-7322

issn

1524-4539

journal_volume

105

pub_type

杂志文章
  • L-4F, an apolipoprotein A-1 mimetic, restores nitric oxide and superoxide anion balance in low-density lipoprotein-treated endothelial cells.

    abstract:BACKGROUND:Low-density lipoprotein (LDL) impairs endothelial cell function by uncoupling endothelial nitric oxide synthase (eNOS) activity, which allows superoxide anion (O2*-)) to be generated rather than nitric oxide (*NO). Recent reports indicate that apolipoprotein (apo) A-1 mimetics inhibit the development of athe...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000061949.17174.b6

    authors: Ou Z,Ou J,Ackerman AW,Oldham KT,Pritchard KA Jr

    更新日期:2003-03-25 00:00:00

  • Cardioplegic solutions for myocardial preservation: analysis of hypothermic arrest, potassium arrest, and procaine arrest.

    abstract::Separate effects of perfusion hypothermia, potassium arrest, and procaine arrest were studied in 150 hearts using the isolated rat heart preparation. Aortic flow rate (AFR), coronary flow rate (CFR), and heart rate (HR) were measured before and after ischemic periods of 90 to 300 min. Prior to the ischemic period, the...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Harlan BJ,Ross D,Macmanus Q,Knight R,Luber J,Starr A

    更新日期:1978-09-01 00:00:00

  • Baroreflex sensitivity, clinical correlates, and cardiovascular mortality among patients with a first myocardial infarction. A prospective study.

    abstract::Experimental studies have shown that among dogs with a healed myocardial infarction, depressed baroreflex sensitivity (BRS) identifies a subgroup at higher risk for sudden death. We have examined the relation among BRS, several clinical cardiovascular variables, and subsequent mortality in 78 patients below the age of...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.78.4.816

    authors: La Rovere MT,Specchia G,Mortara A,Schwartz PJ

    更新日期:1988-10-01 00:00:00

  • Weight loss reduces C-reactive protein levels in obese postmenopausal women.

    abstract:BACKGROUND:C-reactive protein (CRP) has been proposed as an independent risk factor for cardiovascular disease and has been positively associated with body weight and body fatness. We examined the hypothesis that weight loss would reduce plasma CRP levels in obese postmenopausal women. METHODS AND RESULTS:In a sample ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/hc0502.103331

    authors: Tchernof A,Nolan A,Sites CK,Ades PA,Poehlman ET

    更新日期:2002-02-05 00:00:00

  • Magnetic resonance jet velocity mapping in mitral and aortic valve stenosis.

    abstract:BACKGROUND:Magnetic resonance (MR) phase-shift velocity mapping is an established method for measurement of nonturbulent intravascular flow. Shortening the echo time of the MR sequence to 3.6 msec allowed application of the technique to turbulent jet flow. The objective of this study was validation of MR jet velocity m...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.4.1239

    authors: Kilner PJ,Manzara CC,Mohiaddin RH,Pennell DJ,Sutton MG,Firmin DN,Underwood SR,Longmore DB

    更新日期:1993-04-01 00:00:00

  • Impairment of collateral formation in lipoprotein(a) transgenic mice: therapeutic angiogenesis induced by human hepatocyte growth factor gene.

    abstract:BACKGROUND:Although lipoprotein(a) (Lp[a]) is a risk factor for atherosclerosis, no study has documented the effects of Lp(a) on angiogenesis. In this study, we examined collateral formation in peripheral arterial disease (PAD) model in Lp(a) transgenic mice. In addition, we examined the feasibility of gene therapy by ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000012146.07240.fd

    authors: Morishita R,Sakaki M,Yamamoto K,Iguchi S,Aoki M,Yamasaki K,Matsumoto K,Nakamura T,Lawn R,Ogihara T,Kaneda Y

    更新日期:2002-03-26 00:00:00

  • Missense mutations in plakophilin-2 cause sodium current deficit and associate with a Brugada syndrome phenotype.

    abstract:BACKGROUND:Brugada syndrome (BrS) primarily associates with the loss of sodium channel function. Previous studies showed features consistent with sodium current (INa) deficit in patients carrying desmosomal mutations, diagnosed with arrhythmogenic cardiomyopathy (or arrhythmogenic right ventricular cardiomyopathy). Exp...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.003077

    authors: Cerrone M,Lin X,Zhang M,Agullo-Pascual E,Pfenniger A,Chkourko Gusky H,Novelli V,Kim C,Tirasawadichai T,Judge DP,Rothenberg E,Chen HS,Napolitano C,Priori SG,Delmar M

    更新日期:2014-03-11 00:00:00

  • Coronary occlusion during coronary angiography.

    abstract::Between January 1, 1970, and December 31, 1974, 2981 patients underwent coronary arteriography. Twelve acute coronary dissections or embolizations occurred, an incidence of 0.4%. The incidences of acute occlusions for the Sones and Judkins techniques were 0.19% (4/2077 studies) and 0.88% (8/940), respectively. No inst...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.52.6.1063

    authors: Guss SB,Zir LM,Garrison HB,Daggett WM,Block PC,Dinsmore RE

    更新日期:1975-12-01 00:00:00

  • Rate-control treatment and mortality in atrial fibrillation.

    abstract:BACKGROUND:Current American and European guidelines emphasize the importance of rate-control treatments in treating atrial fibrillation with a Class I recommendation, although data on the survival benefits of rate control are lacking. The goal of the present study was to investigate whether patients receiving rate-cont...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.013709

    authors: Chao TF,Liu CJ,Tuan TC,Chen SJ,Wang KL,Lin YJ,Chang SL,Lo LW,Hu YF,Chen TJ,Chiang CE,Chen SA

    更新日期:2015-10-27 00:00:00

  • Outcomes and long-term survival for patients undergoing mitral valve repair versus replacement: effect of age and concomitant coronary artery bypass grafting.

    abstract:BACKGROUND:A paucity of literature is available on the effects of age and coronary artery bypass grafting (CABG) on the outcomes of patients undergoing mitral valve (MV) repair versus replacement. METHODS AND RESULTS:A matched study was performed using prospectively collected data from the Emory cardiovascular databas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000079169.15862.13

    authors: Thourani VH,Weintraub WS,Guyton RA,Jones EL,Williams WH,Elkabbani S,Craver JM

    更新日期:2003-07-22 00:00:00

  • A reassessment of the echocardiogram in mitral stenosis.

    abstract::Echocardiographic and cardiac catheterization findings were compared in 61 patients with mitral stenosis without other significant lesions in an attempt to determine the clinical usefulness of echocardiography in the assessment of such patients. There was a poor correlation between the E-F slope on the echocardiogram ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.52.4.664

    authors: Cope GD,Kisslo JA,Johnson ML,Behar VS

    更新日期:1975-10-01 00:00:00

  • Overexpression of thioredoxin-1 in transgenic mice attenuates adriamycin-induced cardiotoxicity.

    abstract:BACKGROUND:Adriamycin (ADR) is an anticancer drug known to cause severe cardiac toxicity by generating free radicals. We investigated the role of a redox-regulating molecule, thioredoxin-1 (TRX1), in ADR-induced cardiotoxicity. METHODS AND RESULTS:The in vitro study showed that TRX1 was dose-dependently increased conc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000027817.55925.b4

    authors: Shioji K,Kishimoto C,Nakamura H,Masutani H,Yuan Z,Oka S,Yodoi J

    更新日期:2002-09-10 00:00:00

  • Influence of acute rejection episodes, HLA matching, and donor/recipient phenotype on the development of 'early' transplant-associated coronary artery disease.

    abstract:BACKGROUND:Transplant-associated coronary artery disease (TxCAD) is the manifestation of chronic rejection in the cardiac allograft. Both immunological and nonimmunological factors contribute to its development. Stratification by the time of development of TxCAD has not been considered previously for an extensive trans...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Hornick P,Smith J,Pomerance A,Mitchell A,Banner N,Rose M,Yacoub M

    更新日期:1997-11-04 00:00:00

  • Attenuation of ischemia/reperfusion injury in rats by a caspase inhibitor.

    abstract:BACKGROUND:Z-Val-Ala-Asp(OMe)-CH2F (ZVAD-fmk), a tripeptide inhibitor of the caspase interleukin-1beta-converting enzyme family of cysteine proteases, may reduce myocardial reperfusion injury in vivo by attenuating cardiomyocyte apoptosis within the ischemic area at risk. METHODS AND RESULTS:Sprague-Dawley rats were s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.97.3.276

    authors: Yaoita H,Ogawa K,Maehara K,Maruyama Y

    更新日期:1998-01-27 00:00:00

  • Diastolic fractional flow reserve to assess the functional severity of moderate coronary artery stenoses: comparison with fractional flow reserve and coronary flow velocity reserve.

    abstract:BACKGROUND:Coronary blood flow occurs mainly during the diastolic phase of each cardiac cycle and is mainly dependent on diastolic driving pressure, especially in the left anterior descending coronary artery (LAD). We hypothesized that calculation of the ratio of the diastolic driving pressure of a stenotic LAD to its ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.19.2365

    authors: Abe M,Tomiyama H,Yoshida H,Doba N

    更新日期:2000-11-07 00:00:00

  • Effects of gap geometry on conduction through discontinuous radiofrequency lesions.

    abstract:BACKGROUND:Gaps of sufficient cross-sectional dimensions within linear radiofrequency (RF) lesions may allow conduction through the lesion. The purpose of this study was to examine the effects of different gap geometries on conduction through discontinuous RF lesions. METHODS AND RESULTS:Radiofrequency lesions were cr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.596593

    authors: Pérez FJ,Wood MA,Schubert CM

    更新日期:2006-04-11 00:00:00

  • Dobutamine echocardiography and quantitative rest-redistribution 201Tl tomography in myocardial hibernation. Relation of contractile reserve to 201Tl uptake and comparative prediction of recovery of function.

    abstract:BACKGROUND:The purposes of this study were to evaluate the comparative accuracy of dobutamine echocardiography and quantitative rest-redistribution 201Tl tomography in the prediction of recovery of function after revascularization and to assess the relation of contractile reserve to thallium uptake. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.3.626

    authors: Qureshi U,Nagueh SF,Afridi I,Vaduganathan P,Blaustein A,Verani MS,Winters WL Jr,Zoghbi WA

    更新日期:1997-02-04 00:00:00

  • Effects of calcium, inorganic phosphate, and pH on isometric force in single skinned cardiomyocytes from donor and failing human hearts.

    abstract:BACKGROUND:During ischemia, the intracellular calcium and inorganic phosphate (P(i)) concentrations rise and pH falls. We investigated the effects of these changes on force development in donor and failing human hearts to determine if altered contractile protein composition during heart failure changes the myocardial r...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3501.095485

    authors: van Der Velden J,Klein LJ,Zaremba R,Boontje NM,Huybregts MA,Stooker W,Eijsman L,de Jong JW,Visser CA,Visser FC,Stienen GJ

    更新日期:2001-09-04 00:00:00

  • Potentiation of isosorbide dinitrate effects with N-acetylcysteine in patients with chronic heart failure.

    abstract:BACKGROUND:Supply of sulfhydryl groups with the administration of N-acetylcysteine (NAC) has been reported to reverse tolerance to nitroglycerin but not to isosorbide dinitrate (ISDN). Lack of interaction between NAC and ISDN was suggested as an explanation for these findings. The present study was therefore designed t...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.89.6.2595

    authors: Mehra A,Shotan A,Ostrzega E,Hsueh W,Vasquez-Johnson J,Elkayam U

    更新日期:1994-06-01 00:00:00

  • Use of Administrative Claims to Assess Outcomes and Treatment Effect in Randomized Clinical Trials for Transcatheter Aortic Valve Replacement: Findings From the EXTEND Study.

    abstract:BACKGROUND:Whether passively collected data can substitute for adjudicated outcomes to reproduce the magnitude and direction of treatment effect observed in cardiovascular clinical trials is not well known. METHODS:We linked adults ≥65 years of age in the HiR (US CoreValve Pivotal High Risk) and SURTAVI trials (Surgic...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.046159

    authors: Strom JB,Faridi KF,Butala NM,Zhao Y,Tamez H,Valsdottir LR,Brennan JM,Shen C,Popma JJ,Kazi DS,Yeh RW

    更新日期:2020-07-21 00:00:00

  • Impaired VE-cadherin/beta-catenin expression mediates endothelial cell degeneration in dilated cardiomyopathy.

    abstract:BACKGROUND:The cross-talk between vascular endothelial growth factor (VEGF)-A, angiopoietin (Ang), and VE-cadherin coregulates endothelial cell (EC) survival. Cardiac expression of VEGF-A but not its receptor KDR is blunted in dilated cardiomyopathy (DCM). Whether VE-cadherin/Ang function is affected in DCM is unknown....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000091085.12422.19

    authors: Schäfer R,Abraham D,Paulus P,Blumer R,Grimm M,Wojta J,Aharinejad S

    更新日期:2003-09-30 00:00:00

  • Endothelium-derived hyperpolarizing factor : identification and mechanisms of action in human subcutaneous resistance arteries.

    abstract:BACKGROUND:Both a vascular endothelial cytochrome P450 (CYP450) product of arachidonic acid metabolism and the potassium ion (K(+)) have been identified as endothelium-derived hyperpolarizing factors (EDHFs) in animal vascular tissues. We studied the relative importance of EDHF, nitric oxide (NO), and prostacyclin (PGI...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.103.12.1702

    authors: Coats P,Johnston F,MacDonald J,McMurray JJ,Hillier C

    更新日期:2001-03-27 00:00:00

  • Evaluation of severity of heart failure using ventilatory gas analysis.

    abstract::To evaluate the severity of heart failure, cardiopulmonary exercise testing was performed in 99 normal subjects and in 382 patients with cardiac disease. Anaerobic threshold, peak oxygen uptake, and the ratio of increase in oxygen uptake to work-rate increment were determined by ventilatory and gas exchange measuremen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Itoh H,Taniguchi K,Koike A,Doi M

    更新日期:1990-01-01 00:00:00

  • Benefit of Adding Ezetimibe to Statin Therapy on Cardiovascular Outcomes and Safety in Patients With Versus Without Diabetes Mellitus: Results From IMPROVE-IT (Improved Reduction of Outcomes: Vytorin Efficacy International Trial).

    abstract:BACKGROUND:Ezetimibe, when added to simvastatin, reduces cardiovascular events after acute coronary syndrome. We explored outcomes stratified by diabetes mellitus (DM). METHODS:In IMPROVE-IT (Improved Reduction of Outcomes: Vytorin Efficacy International Trial), 18 144 patients after acute coronary syndrome with low-d...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.030950

    authors: Giugliano RP,Cannon CP,Blazing MA,Nicolau JC,Corbalán R,Špinar J,Park JG,White JA,Bohula EA,Braunwald E,IMPROVE-IT (Improved Reduction of Outcomes: Vytorin Efficacy International Trial) Investigators.

    更新日期:2018-04-10 00:00:00

  • Influence of collateral flow on the ischemic tolerance of the heart following acute and subacute coronary occlusion.

    abstract::Acute occlusion of the circumflex branch of the left coronary artery was produced in chronically instrumented conscious dogs. Tracer microspheres were used to measure during an established time period, the distribution of collateral flow within the infarcting myocardium. For up to 2 hours after coronary occlusion the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Schaper W,Pasyk S

    更新日期:1976-03-01 00:00:00

  • Left ventricular contractility predicts how the end-diastolic pressure-volume relation shifts during pacing-induced ischemia in dogs.

    abstract:BACKGROUND:Two types of ischemia, pacing-induced and coronary occlusion-induced, have different effects on left ventricular diastolic properties. During pacing-induced ischemia, the diastolic pressure-volume relation is said to shift upward, whereas during coronary occlusion, it is said to shift rightward or downward. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.9.2423

    authors: Takano H,Glantz SA

    更新日期:1995-05-01 00:00:00

  • Sustained inhibition of epsilon protein kinase C inhibits vascular restenosis after balloon injury and stenting.

    abstract:BACKGROUND:ε protein kinase C (εPKC) is involved in vascular smooth muscle cell (VSMC) activation, but little is known about its function in vascular pathology. We aimed at assessing the role of εPKC in the development of restenosis. METHODS AND RESULTS:Rat models of aortic balloon injury with or without subsequent st...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.927640

    authors: Deuse T,Koyanagi T,Erben RG,Hua X,Velden J,Ikeno F,Reichenspurner H,Robbins RC,Mochly-Rosen D,Schrepfer S

    更新日期:2010-09-14 00:00:00

  • Cardiac Implantable Electronic Device Interrogation at Forensic Autopsy: An Underestimated Resource?

    abstract:BACKGROUND:Postmortem interrogations of cardiac implantable electronic devices (CIEDs), recommended at autopsy in suspected cases of sudden cardiac death, are rarely performed, and data on systematic postmortem CIED analysis in the forensic pathology are missing. The aim of the study was to determine whether nonselecti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.032367

    authors: Lacour P,Buschmann C,Storm C,Nee J,Parwani AS,Huemer M,Attanasio P,Boldt LH,Rauch G,Kucher A,Pieske B,Haverkamp W,Blaschke F

    更新日期:2018-06-19 00:00:00

  • Coronary arteriographic findings in acute transmural myocardial infarction.

    abstract::To describe the coronary arteriographic findings during early transmural myocardial infarction and to define the prevalence of coronary thrombosis by arteriography, we performed coronary arteriography and left ventriculography within 24 hours from symptom onset of transmural myocardial infarction in 517 patients. The ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: DeWood MA,Spores J,Hensley GR,Simpson CS,Eugster GS,Sutherland KI,Grunwald RP,Shields JP

    更新日期:1983-08-01 00:00:00

  • Humoral immune response during coronary artery bypass grafting: A comparison of limited approach, "off-pump" technique, and conventional cardiopulmonary bypass.

    abstract:BACKGROUND:The introduction of limited approaches to the heart and the avoidance of cardiopulmonary bypass (CPB) aim to reduce the invasiveness of CABG by decreasing the systemic release of inflammatory cytokines, such as tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-8, as well as the anti-inflammatory ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.102.suppl_3.iii-95

    authors: Diegeler A,Doll N,Rauch T,Haberer D,Walther T,Falk V,Gummert J,Autschbach R,Mohr FW

    更新日期:2000-11-07 00:00:00